Renou Sophie, Assegond Christèle, Marret Henri, Pragout David
Université de Tours.
CETU-ETIcS, Université de Tours.
Menopause. 2025 Aug 5. doi: 10.1097/GME.0000000000002624.
Menopause can result in significant transformations in a woman's life and sexuality. A limited number of studies have investigated women's perceptions at the time of menopause and their potential impact on their sexuality. The aim of this study is to explore women's perceptions of menopause and their impact on their sexuality from a multidimensional perspective, using a qualitative approach.
We conducted 13 semistructured individual interviews with postmenopausal women aged 49 to 63 years. The interviews were recorded, transcribed, and coded by 2 investigators. These codes were then classified into themes and subthemes.
With regard to menopause, the participants first emphasized the physical and psychological symptoms (hot flashes, genitourinary disorders, weight gain, depression, mood swings) that they experienced during this time, which were sometimes incapacitating. They also reported a complex psychosocial context at the onset of menopause. Most of them went through this experience alone. The combination of these various factors resulted in a highly variable menopausal experience. Their sexuality was primarily influenced by the severity of the genitourinary disorders and the quality of the relationship with their partner, and sexual desire levels varied as a result.
The overall experience of menopause widely varies from one woman to another, mainly depending on the intensity of the physical and psychological symptoms, as well as on their life context. Sexuality and sexual desire may change quantitatively and qualitatively. Some women are at greater risk for a negative menopause experience and require special attention from health care professionals.
绝经会给女性的生活和性特征带来重大变化。仅有少数研究调查了女性在绝经时的认知及其对性特征的潜在影响。本研究旨在采用定性研究方法，从多维度视角探究女性对绝经的认知及其对性特征的影响。
我们对49至63岁的绝经后女性进行了13次半结构化个人访谈。访谈由两名研究人员进行记录、转录和编码。然后将这些编码归类为主题和子主题。
关于绝经，参与者首先强调了她们在此期间经历的身体和心理症状（潮热、泌尿生殖系统疾病、体重增加、抑郁、情绪波动），这些症状有时会使人丧失能力。她们还报告了绝经开始时复杂的社会心理背景。她们中的大多数人独自经历了这一过程。这些不同因素的综合作用导致了绝经经历的高度差异。她们的性特征主要受泌尿生殖系统疾病的严重程度以及与伴侣关系质量的影响，性欲水平也因此有所不同。
绝经的总体经历因女性个体而异，主要取决于身体和心理症状的强度以及她们的生活背景。性特征和性欲可能在数量和质量上发生变化。一些女性经历负面绝经体验的风险更高，需要医护人员给予特别关注。
